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Several endoscopic procedures are proposed as an alternative to formal surgical treatment for morbid obesity. Some advantages are that it less aggressive and can be performed under sedation. Some data shows good outcomes in the short term. However, in daily practice there is an increasing number of patients who require conversion into surgical treatment. Antonio M. Lacy and Ricard Corcelles performed from the Hospital Clinic in Barcelona, a revisional bariatric surgery with 3D technology on a morbid obese patient with a failure after a POSE procedure.